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Understanding factors that could influence feasibility and acceptability of brief CAT for adults who self‐harm: A qualitative exploration using the theoretical framework of acceptability.

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Title: Understanding factors that could influence feasibility and acceptability of brief CAT for adults who self‐harm: A qualitative exploration using the theoretical framework of acceptability.
Authors: Adeyemi, Isabel (AUTHOR), Marlow, Katie (AUTHOR), Asmal, Sadika (AUTHOR), Pritchard, Stephen (AUTHOR), Uddin, Fatima Saima (AUTHOR), Latham, Cameron (AUTHOR), Robinson, Catherine (AUTHOR), Dunn, Barnaby D. (AUTHOR), Kellett, Stephen (AUTHOR), Taylor, Peter (AUTHOR)
Source: Psychology & Psychotherapy: Theory, Research & Practice. Jun2026, Vol. 99 Issue 2, p783-800. 18p.
Subjects: Self-injurious behavior, Qualitative research, Self-efficacy, Research funding, Interviewing, Statistical sampling, Brief psychotherapy, Treatment effectiveness, Descriptive statistics, Randomized controlled trials, Thematic analysis, Conceptual structures, Research methodology, Cognitive therapy
Geographic Terms: England
Abstract: Introduction: Self‐harm in adults is a complex and highly prevalent problem. The Relational Approach to Treating Self‐Harm (RELATE, ISRCTN code: ISRCTN75661422) trial investigated the feasibility, acceptability and safety of 8‐session cognitive analytic therapy (CAT) for self‐harm, compared with treatment as usual. This qualitative evaluation explored participants' experiences of study processes and of brief CAT. Method: Semi‐structured one‐to‐one interviews were carried out with N = 24 participants and reflexive thematic analysis explored participants' experiences. Results: Five themes were identified supporting the perceived acceptability of the trial and the therapy. Being responsible to accept uncertainty was the concern prior to and at the start of the CAT and centred on a sense of vulnerability during the therapy itself. Self‐acceptance through more understanding and taking ownership illustrated understandings of how CAT worked. Living with urges was seen as the impact of the CAT on impulsivity, and being prepared for the end of treatment was a key factor in the overall view of brief CAT. Conclusions: Brief CAT for self‐harm appears acceptable in terms of intervention coherence, self‐efficacy and perceived effectiveness. Anticipation of increased vulnerability (i.e., affective attitudes) and the energy required (i.e., burden) in talking through difficulties and trauma suggest a need to manage patient expectations before brief CAT is started. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Understanding factors that could influence feasibility and acceptability of brief CAT for adults who self‐harm: A qualitative exploration using the theoretical framework of acceptability.
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  Data: <searchLink fieldCode="AR" term="%22Adeyemi%2C+Isabel%22">Adeyemi, Isabel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marlow%2C+Katie%22">Marlow, Katie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Asmal%2C+Sadika%22">Asmal, Sadika</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pritchard%2C+Stephen%22">Pritchard, Stephen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Uddin%2C+Fatima+Saima%22">Uddin, Fatima Saima</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Latham%2C+Cameron%22">Latham, Cameron</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Robinson%2C+Catherine%22">Robinson, Catherine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dunn%2C+Barnaby+D%2E%22">Dunn, Barnaby D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kellett%2C+Stephen%22">Kellett, Stephen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Taylor%2C+Peter%22">Taylor, Peter</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Psychotherapy%3A+Theory%2C+Research+%26+Practice%22">Psychology & Psychotherapy: Theory, Research & Practice</searchLink>. Jun2026, Vol. 99 Issue 2, p783-800. 18p.
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  Data: <searchLink fieldCode="DE" term="%22Self-injurious+behavior%22">Self-injurious behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Self-efficacy%22">Self-efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Brief+psychotherapy%22">Brief psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22England%22">England</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Self‐harm in adults is a complex and highly prevalent problem. The Relational Approach to Treating Self‐Harm (RELATE, ISRCTN code: ISRCTN75661422) trial investigated the feasibility, acceptability and safety of 8‐session cognitive analytic therapy (CAT) for self‐harm, compared with treatment as usual. This qualitative evaluation explored participants' experiences of study processes and of brief CAT. Method: Semi‐structured one‐to‐one interviews were carried out with N = 24 participants and reflexive thematic analysis explored participants' experiences. Results: Five themes were identified supporting the perceived acceptability of the trial and the therapy. Being responsible to accept uncertainty was the concern prior to and at the start of the CAT and centred on a sense of vulnerability during the therapy itself. Self‐acceptance through more understanding and taking ownership illustrated understandings of how CAT worked. Living with urges was seen as the impact of the CAT on impulsivity, and being prepared for the end of treatment was a key factor in the overall view of brief CAT. Conclusions: Brief CAT for self‐harm appears acceptable in terms of intervention coherence, self‐efficacy and perceived effectiveness. Anticipation of increased vulnerability (i.e., affective attitudes) and the energy required (i.e., burden) in talking through difficulties and trauma suggest a need to manage patient expectations before brief CAT is started. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193690780
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        Value: 10.1111/papt.70057
    Languages:
      – Code: eng
        Text: English
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        PageCount: 18
        StartPage: 783
    Subjects:
      – SubjectFull: Self-injurious behavior
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Self-efficacy
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      – SubjectFull: Research funding
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      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Brief psychotherapy
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Cognitive therapy
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      – SubjectFull: England
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      – TitleFull: Understanding factors that could influence feasibility and acceptability of brief CAT for adults who self‐harm: A qualitative exploration using the theoretical framework of acceptability.
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              Text: Jun2026
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